Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01059 | Date 05/10/2018 |
| Token No | SM/18-19/1383 05/10/2018 | Serial | 024 |
| Patient Name | Mrs. ANAMIKA DAS | Contact No | |
| Address | DHARMA TALA LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 57 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||